Provider Demographics
NPI:1346522919
Name:HEALTH CARE DEPOT, INC.
Entity Type:Organization
Organization Name:HEALTH CARE DEPOT, INC.
Other - Org Name:A1 DME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVE
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-992-1363
Mailing Address - Street 1:14440 CHERRY LANE CT
Mailing Address - Street 2:SUITE 115
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-4946
Mailing Address - Country:US
Mailing Address - Phone:888-992-1363
Mailing Address - Fax:888-982-1363
Practice Address - Street 1:7603 FOREST AVE
Practice Address - Street 2:SUITE 209
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-4942
Practice Address - Country:US
Practice Address - Phone:888-992-1363
Practice Address - Fax:888-982-1363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-09
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1346522919Medicaid
MD1271010002Medicare NSC
VA1271010003Medicare NSC
NJ1271010001Medicare NSC